Impact of Aquatic Exercises on Dynamic Balance, Proprioception and Functional Outcomes in a Patient with Post-ACL Reconstruction: A Case Report

The Anterior Cruciate Ligament (ACL) is one of the most important of the eleven ligaments in the knee joint. ACL injuries include sprains or rips of the ACL in the knee caused by rapid changes in direction, poor landing after jumping, or knee twisting. ACL reconstruction is the best option for individuals who are active. The goal is to assess the impact of aquatic exercise on proprioceptive training, dynamic balance, and functional outcomes. Aquatic-based treatment can minimise joint stress while also improving muscle strength, neuromuscular control, stability, and functional rehabilitation in ACL surgery patients. Hereby, the authors present a case report of an ACL reconstruction and clinically and radiologically verified ACL degeneration in a 25-year-old male. The patient underwent 12 weeks of continuous aquatic exercises, as well as a proprioception and dynamic balance treatment regimen. Prior to and throughout the intervention, measures were taken of joint position sense test, dynamic balance, discomfort, strength, giving way, activity level, and walking. Following the intervention, knee proprioception, dynamic balance, and functional outcomes improved, including pain reduction, greater lower limb and knee strength, decreased instability, and better daily activities. Proprioception, balance cultivation, and functional performance all increased as a result of the aquatic exercise-structured physical treatment. The study indicates the potential relevance of rehabilitation and use of standardised outcome indicators. The present case is unique because proprioception, dynamic balance, and functional outcome following ACL surgery are all addressed concurrently by a designed 12-week supervised aquatic exercise programme that incorporates strengthening, proprioceptive, weight shifting, and balance activities.

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Publication Details

Journal
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Published
2026-11-02
DOI
https://doi.org/10.7860/jcdr/2026/91509.24757
Primary Topic
Knee injuries and reconstruction techniques
Type
article
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article

Impact of Aquatic Exercises on Dynamic Balance, Proprioception and Functional Outcomes in a Patient with Post-ACL Reconstruction: A Case Report

Jency Thangasheela Gnanasigamani, Dharshinishree Suresh Babu, Vaidhegi Thirunavukkarasu
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JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Knee injuries and reconstruction techniques
article

Impact of Aquatic Exercises on Dynamic Balance, Proprioception and Functional Outcomes in a Patient with Post-ACL Reconstruction: A Case Report

Jency Thangasheela Gnanasigamani, Dharshinishree Suresh Babu, Vaidhegi Thirunavukkarasu
article en

Abstract

The Anterior Cruciate Ligament (ACL) is one of the most important of the eleven ligaments in the knee joint. ACL injuries include sprains or rips of the ACL in the knee caused by rapid changes in direction, poor landing after jumping, or knee twisting. ACL reconstruction is the best option for individuals who are active. The goal is to assess the impact of aquatic exercise on proprioceptive training, dynamic balance, and functional outcomes. Aquatic-based treatment can minimise joint stress while also improving muscle strength, neuromuscular control, stability, and functional rehabilitation in ACL surgery patients. Hereby, the authors present a case report of an ACL reconstruction and clinically and radiologically verified ACL degeneration in a 25-year-old male. The patient underwent 12 weeks of continuous aquatic exercises, as well as a proprioception and dynamic balance treatment regimen. Prior to and throughout the intervention, measures were taken of joint position sense test, dynamic balance, discomfort, strength, giving way, activity level, and walking. Following the intervention, knee proprioception, dynamic balance, and functional outcomes improved, including pain reduction, greater lower limb and knee strength, decreased instability, and better daily activities. Proprioception, balance cultivation, and functional performance all increased as a result of the aquatic exercise-structured physical treatment. The study indicates the potential relevance of rehabilitation and use of standardised outcome indicators. The present case is unique because proprioception, dynamic balance, and functional outcome following ACL surgery are all addressed concurrently by a designed 12-week supervised aquatic exercise programme that incorporates strengthening, proprioceptive, weight shifting, and balance activities.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
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Openalex Percentile: Top 11%
Knee injuries and reconstruction techniques
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Impact of Aquatic Exercises on Dynamic Balance, Proprioception and Functional Outcomes in a Patient with Post-ACL Reconstruction: A Case Report — Jency Thangasheela Gnanasigamani, Dharshinishree Suresh Babu, et al. · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2026) | TGRS Research Map | TGRS